Individual
JANELLE DEFIESTA TALBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 CYPRESS LN, DAVIS, CA 95616-1316
(707) 708-1334
Mailing address
1404 CYPRESS LN, DAVIS, CA 95616-1316
(707) 708-1334
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95222451
CA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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